| NPI | 1447294582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AL PA.264) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AL PA-264) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-07-26 |